
HarmonyCa hybrid filler treatment in Maidenhead
HarmonyCa is a hybrid injectable filler that combines hyaluronic acid (HA) with calcium hydroxyapatite (CaHA) microspheres to deliver immediate volume restoration and long-term collagen stimulation. At Berkshire Aesthetics in Maidenhead, suitability is assessed clinically and we focus on natural, balanced outcomes.
Book ConsultationClinically reviewed by
Dr Selena Langdon — Medical Director, MBBS
Last reviewed:
Information is general and not a substitute for a medical consultation. Suitability is confirmed during assessment.
Why we start with a consultation
Every treatment begins with a medical assessment. We need to understand your medical history, current health, skin condition and concerns before prescribing any procedure. This protects your safety and ensures the treatment is clinically appropriate for you.
During your consultation, Dr Langdon will explain what the treatment can realistically achieve, any risks specific to you, and whether an alternative might be more appropriate.
All bookings are subject to our Booking Conditions.
Doctor-led approach
- Treatment suitability is assessed by a doctor during a clinical consultation
- Prescribing responsibility sits with Dr Selena Langdon (GMC 6159259)
- No same-day injectable treatments for new patients
- Read our full Consultation & Safety Standards
Clinical overview
HarmonyCa is a dual-action injectable that provides immediate structural support from the hyaluronic acid component, while the calcium hydroxyapatite microspheres stimulate your own collagen production over the following weeks and months. In clinic, we use HarmonyCa selectively for patients who want both instant improvement and progressive, longer-lasting results. It is particularly suited to areas such as the cheeks, jawline, nasolabial folds, marionette lines and the neck/décolletage where both volume and skin quality are concerns. HarmonyCa is not appropriate for every patient or every area. Suitability is confirmed during consultation, where we assess your facial anatomy, skin quality, medical history, expectations, and whether HarmonyCa (or an alternative approach) is the safest and most effective choice for your goals.
Key Benefits
- Dual action: immediate volume from hyaluronic acid plus long-term collagen stimulation from CaHA
- Longer-lasting results compared to standard HA fillers — often up to 18 months
- Natural-looking improvement in facial contour and skin quality
- Suitable for multiple areas including cheeks, jawline and mid-face
- Gradual collagen remodelling continues to improve skin quality after the initial volume effect
Suitable For
- Moderate volume loss in the cheeks, jawline or mid-face where both structure and skin quality are concerns
- Nasolabial folds or marionette lines where a longer-lasting solution is preferred
- Patients who want immediate visible improvement with progressive collagen stimulation
- Those seeking a treatment that addresses both volume and skin quality in a single session
- Neck or décolletage skin laxity where collagen stimulation is beneficial
Not Suitable For
- Very fine, superficial lines where a softer product is more appropriate (e.g. lip lines)
- Lip augmentation — HarmonyCa is not suitable for use in the lips
- Active infection or inflammation in the area to be treated (treatment should be delayed)
- Pregnancy or breastfeeding
- Patients with a known hypersensitivity to any of the product components
Final suitability is confirmed during a medical consultation and assessment.
When we don't recommend it
- If the concern is purely superficial fine lines — HarmonyCa is a volumising and stimulating product and a lighter-weight treatment may be more appropriate.
- If lip augmentation is the primary goal — HarmonyCa is not formulated for the lips and a standard HA filler would be recommended instead.
- If there is active infection or inflammation in the treatment area — treatment should be delayed until the skin is settled.
- If your expectations are for dramatic overnight transformation — results are immediate but continue to develop, and we will set realistic expectations during consultation.
- If a different product or combination plan would deliver a safer or more effective result for your specific anatomy and goals.
What Happens During Treatment
- 1Clinical consultation and suitability assessment, including facial anatomy analysis, medical history and your goals
- 2Discussion of expected outcomes, limitations, risks and alternatives (including when we may recommend something else)
- 3Topical anaesthetic is applied to ensure comfort during the procedure
- 4HarmonyCa is injected into targeted areas using a cannula or needle, depending on the treatment area and your anatomy
- 5Post-treatment checks and clear aftercare instructions, including what to expect in the days and weeks following treatment
Downtime & Aftercare
- Mild swelling, tenderness or bruising at injection sites is common and typically settles within a few days
- Avoid heavy exercise, saunas/steam rooms and alcohol for 24–48 hours
- Avoid touching or massaging the treated area unless specifically instructed
- Sleep with your head slightly elevated for the first night if facial areas were treated
- If you have unexpected or worsening symptoms, contact the clinic for advice
Results Timeline
- Immediate volume improvement is visible from the hyaluronic acid component.
- Collagen stimulation from the CaHA microspheres develops gradually over 4–12 weeks.
- We review outcomes and discuss whether a second session or complementary treatments would enhance your result.
How Long Results May Last
- •Results can last up to 18 months, though this varies by individual, treatment area and lifestyle.
- •The collagen-stimulating effect provides ongoing improvement even as the product is naturally absorbed.
- •Maintenance sessions can be discussed at your review appointment.
Individual results vary. View our results and photography standards
Risks & Side Effects
Common, Usually Temporary
- •Swelling, redness or tenderness at injection sites (typically settles within a few days)
- •Bruising (risk varies by individual, area treated and medications/supplements)
- •Temporary firmness or lumpiness in the treated area as the product settles
Rare but Serious
- •Prolonged or increasing swelling, significant pain, or an inflammatory reaction (requires clinical review)
- •Signs of infection such as increasing redness, heat, tenderness, discharge, or fever
- •Vascular occlusion — extremely rare but serious; recognised and managed immediately in our clinic
- •Any unexpected or worsening symptoms that concern you should be assessed promptly
When to Contact Us Urgently
- •Rapidly increasing swelling, severe pain, or skin colour changes (blanching, dusky discolouration) after treatment
- •Spreading redness, heat, discharge, or feeling unwell/feverish
- •Any symptoms that are worsening rather than settling over the first few days
Frequently Asked Questions
Quick Facts
Treatment Time
30–45 minutes
Downtime
Mild swelling/bruising for a few days; minimal social downtime
Results Visible
Immediate volume with progressive collagen stimulation over weeks
Sessions
1–2 sessions typically (individualised)
Why Berkshire Aesthetics
- Doctor-led clinic — all treatments clinically overseen by Dr Selena Langdon (MBBS)
- CQC registered — view our registration
- Consultation-first approach — we assess suitability before recommending treatment
- Clear complaints process — we take patient feedback seriously
This content is for informational purposes only and does not constitute medical advice. Individual suitability for any treatment is assessed during a consultation. Always seek the guidance of a qualified medical professional with any questions regarding a medical condition or treatment.
- CQC registered clinic — regulated and inspected
- Doctor-led clinical oversight by Dr Selena Langdon (GMC 6159259)
- Complaints process and patient rights
Page last reviewed: 2026-02-10
Reviewed by Dr Selena Langdon, Medical Director (GMC 6159259) — Last reviewed: 2026-02-10
Alternatives You May Want to Consider
Every patient is different. These treatments address similar concerns and may be more suitable depending on your goals and medical history.

Dermal Fillers
Restore volume and enhance facial contours with premium hyaluronic acid fillers.
- Volume restoration
- Lip enhancement
- Immediate results

Profhilo
Revolutionary bio-remodeling treatment for skin laxity and hydration.
- Skin hydration
- Collagen boost
- Natural glow

PDO Thread Lift
Minimally invasive lifting procedure using absorbable threads for subtle lift and collagen stimulation.
- Immediate lift
- Collagen stimulation
- Non-surgical
Further Reading & Clinical References
The following external resources provide independent clinical and regulatory information.
- Dermal fillers— NHS
- Save Face: Verified practitioners register— Save Face
Ready to Start Your Journey?
Book a consultation with our expert team today.